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Sudan: Last hospital in El Fasher risks closure amid intense bombardment

MSF urgently calls for the protection of civilians and health facilities.

A woman waits in line at a feeding center in Zamzam camp, Sudan.

Sudan 2024 © Mohamed Zakaria

NAIROBI, August 14, 2024 — Once more, as fighting escalates in El Fasher, Sudan, its impact on the lives of civilians is becoming increasingly devastating, warns Doctors Without Borders/Médecins Sans Frontières (MSF). 

Multiple attacks on El Fasher have taken place over the past week, and since Saturday, at least 15 people have been killed and more than 130 have been injured. The MSF-supported Saudi Hospital—the last remaining public hospital in the city with the capacity to treat the wounded and perform surgery—was attacked yet again, causing extensive damage and leaving the facility only partially functioning.

The attack took place on Sunday, August 11, marking the eleventh time a hospital in El Fasher has been hit since the fighting escalated on May 10. The surgical ward was hit during the bombardment, killing a patient’s caretaker, injuring five others, and damaging the maternity unit. In addition, a number of hospital offices were hit, and a nurse sustained injuries while working inside.

Saudi Hospital had been inundated with wounded people following heavy fighting on Saturday, August 10. Over 100 people arrived at the facility that day, and 14 passed away from their injuries. At the same time, 15 wounded people were brought from El Fasher to MSF’s facilities in Zamzam camp. It is expected that the fighting will become even more intense in the coming days.

Michel Olivier Lacharité, head of MSF emergency operations, gave the following statement today:

“For more than three months, people in El Fasher have been under constant bombardment. Shelling from both sides has resulted in over 2,500 casualties who arrived at MSF-supported hospitals, and more than 370 of these patients passed away from their injuries. The number of victims of the conflict is unknown. Sunday’s attack on Saudi Hospital—which is the largest hospital in North Darfur state—makes it crystal clear that the warring parties are making no efforts to protect health facilities or the civilians inside them. Patients fear for their lives as a result of the relentless attacks.

People are moving to Zamzam to flee the fighting in El Fasher, but those already in the camp also fear for their lives—Zamzam was hit by shelling just one week ago and there are very real fears that this will happen again. We are preparing to receive more casualties in Zamzam—especially as the fighting in El Fasher means that people cannot easily reach Saudi Hospital. However, our field hospital has been built to treat children with malnutrition and pediatric diseases—it is not currently set up to treat the wounded. There is no operating theater and no blood bank, which means our team will be under exceptional pressure if casualties continue to arrive. Additionally, people in the camp are already facing life-threatening issues of their own.

The warring parties are making no efforts to protect health facilities or the civilians inside them. Patients fear for their lives as a result of the relentless attacks.

MSF raised the alarm about the catastrophic malnutrition crisis in Zamzam camp over six months ago, and now the Famine Review Committee has declared a state of famine in the camp. We urge the warring parties to let humanitarian supplies pass through without being obstructed, and we also urge them to protect civilians and health structures. Saudi is the last remaining public hospital in North Darfur with the capacity to effectively treat the wounded. If it, or our facilities in Zamzam, are hit again and become non-functional, there will be nowhere left for the injured to seek care and the death toll will soar.”

Sudan crisis response